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Patient Authorization and Referral Representative

Tukwila, WA 98168

Employment Type: Full Time (Contract) Job Category: Healthcare/Clinical/Admn Job Number: 248315

Job Description

Job Responsibilities:
  • Verifies insurance benefits and eligibility on all new referrals
  • Maintain responsibility for front-end reimbursement duties, providing phone and clerical support to the department 
  • Enter patient referral data, outcomes, and physician information into the database
  • Track patient satisfaction surveys
  • Assist in evaluation of documentation to determine if patient meets criteria for coverage of therapy
  • Gather necessary information to assure accuracy and completeness of forms and reports; Work with management and staff to correct omissions, errors, office systems problems, etc
  • Responsible for generating benefits letter to inform patient/responsible party of financial responsibility and sending to patient
  • Responsible for entering new patient and physician date into the software database, including new therapy sessions on existing patients
  • Obtain PCP referral request and follow-up.
  • Document appropriately in patient electronic record regarding payer/billing information
  • Obtain initial pre-authorizations as required by insurance plans

Job Information:
  • Location: Tukwila, WA
  • Pay Rate: $25-$28 per hour
  • Assignment Length: 8-12 Weeks
  • Assignment Type: Temp-to-Hire

Candidate Requirements:
  • Must have healthcare insurance/benefits authorization experience
  • Excellent Customer Service experience is crucial as  on a as needed basis, you will interact with patient and insurance carriers over the phone
  • Must be sufficiently fluent in the English language to satisfactorily perform the essential functions of the position
  • Demonstrated ability to type quickly and accurately, plus communicate effectively
  • General computer knowledge and skills, including word processing, spreadsheets, and database software
  • Basic understanding and knowledge of medical terminology and medical reimbursement
  • Coding knowledge a plus but not necessary
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